Kienbock's disease staging chart form

Wrist E/F L: ___/___ R: ___/___

Lunate Tenderness L:__ R:__

RADIOGRAPHIC STAGING

__I Normal

__II Lunate sclerosis

__III Lunate collapse

__IV Carpal arthritis

Ulnar variance: __Negative __Neutral __Positive

T1 weighted MRI:

Bone scan: